<div action="createClaimReportCase" id="create_report_case_dialog" class="dialog adddialog none" style="margin-top: -263px; margin-left: -325px;">
	<input type="hidden" name="claimId" />
	<div class="dialogTitle">报案信息</div>
	<button class="closeDiv">×</button>
	<div class="dialog_content">
		<div class="dialogDataLine"><div>报案人员：<input isNULL="1" codeName="报案人员" name="reportMan" type="text"></div><div>报案时间：<input isNULL="1" codeName="报案时间" name="reportDate" readonly="readonly" onclick="WdatePicker({})" type="text"></div></div>
		<div class="dialogDataLine material"><div>附件信息：<input isNull="1" codeName="附件信息" type="hidden" name="reportFileUuid" id="reportFileUuid"><input value="" name="file" type="file" class="none" id="claimMaterial"/><label class="claimMaterial" for="claimMaterial">添加</label></div><div></div></div>
		<div class="dialogDataLine">报案备注：<textarea isNULL="1" codeName="报案备注" name="reportRemark"></textarea></div>
	</div>
	<div class="footerBtn ad_button">
		<div class="dialogBtn dialogHandlerBtn sure_yes">确定</div>
		<div class="dialogBtn dialogHandlerBtn sure_no">取消</div>
	</div>
</div>